ANGELA MARIE DEROSA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032626

License Status

EXPIRED

Business

Title

First Name

ANGELA

Middle

MARIE

Last Name

DEROSA

Business Name

ANGELA MARIE DEROSA DO

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

06/30/1998

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006